Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
GADOBENATE DIMEGLUMINE 529 MG/ML IV SOLN
Low
$24
Average
$271
Median
$157
High
$917
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 25.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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46 hospital rates
iThe hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Mercy Hospital Logan County Inc Guthrie, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | 120 | $47 – $47 |
| 2 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $2 | 4% | 60 | $42 – $45 |
| 3 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $55 | $55 | — | — | 40 | $55 – $55 |
| 4 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | 30 | $97 – $97 |
| 5 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 20 | $38 – $38 |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $279 | $270 | $196 | 73% | — | $25 – $505 |
| 7 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $917 | $917 | — | — | — | $917 – $917 |
| 9 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $111 | $108 | $44 | 41% | — | $46 – $163 |
| 10 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $917 | $917 | — | — | — | $917 – $917 |
| 11 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $120 | $125 | $25 | 20% | — | $98 – $158 |
| 12 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $12 | $118 | $128 | 108% | — | $10 – $324 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $111 | $120 | 108% | — | $9 – $303 |
| 14 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $175 | $170 | $70 | 41% | — | $73 – $257 |
| 15 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $143 | $58 | 41% | — | $61 – $216 |
| 16 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 17 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $8 | 8% | — | $93 – $109 |
| 18 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $917 | $917 | — | — | — | $917 – $917 |
| 19 | KAPLAN GENERAL HOSPITAL, INC ST, LA percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 20 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $400 | $388 | $159 | 41% | — | $165 – $587 |
| 21 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $400 | $388 | $159 | 41% | — | $165 – $587 |
| 22 | Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $400 | $388 | $159 | 41% | — | $165 – $587 |
| 23 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 24 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 25 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting HCPCS A9577 · Snapshot 20261111T120946Z-9134e7f7